Clinical Features  
Arrogant/Overt . . . Shy/Covert Narcissism
 
 
Arrogant/Overt
Shy/Covert
  Self-Concept Grandiosity;    preoccupation with fantasies of outstanding success; undue sense of uniqueness; feelings of entitlement; seeming self-sufficiency Inferiority; morose self-doubts; marked propensity toward feeling ashamed; fragility; relentless search for glory and power; marked sensitivity to criticism and realistic setbacks
  Interpersonal   
  Relationships
Numerous but shallow relationships; intense need for tribute from others; scorn for others, often masked by pseudohumility; lack of empathy; inability to genuinely participate in group activities; valuing of children over spouse in family life Inability to genuinely depend on others and trust them; chronic envy of others’ talents, possessions, and capacity for deep object relations; lack of regard for generational boundaries; disregard for others’ time; refusal to answer letters
  Social   
  Adaptation
Socially charming; often successful; consistent hard work done mainly to seek admiration (“pseudo- sublimation”); intense ambition; preoccupation with appearances  Nagging aimlessness; shallow vocational commitment; dilettante-like attitude; multiple but superficial interests; chronic boredom; aesthetic taste often ill-informed and imitative
  Ethics,   
  Standards,   
  and  
  Ideals  
  
  
  

 

Caricatured modesty; pretended contempt for money in real life; idiosyncratically and unevenly moral; apparent enthusiasm for sociopolitical affairs  

 

 Readiness to shift values to gain favor; pathological lying; materialistic lifestyle; delinquent tendencies; inordinate ethnic and moral relativism; irreverence toward authority
  Love   
  and   
  Sexuality
Marital instability; cold and greedy seductiveness; extramarital affairs and promiscuity; uninhibited sexual life Inability to remain in love; impaired capacity for viewing the romantic partner as a separate individual with his or her own interests, rights, and values; inability to genuinely comprehend the incest taboo; occasional sexual perversions
  Cognitive   
  Style
Impressively knowledgeable; decisive and opinionated; often strikingly articulate; egocentric perception of reality; love of language; fondness for shortcuts to acquisition of knowledge Knowledge often limited to trivia (“headline intelligence”); forgetful of details, especially names; impaired in the capacity for learning new skills; tendency to change meanings of reality when facing a threat to self-esteem; language and speaking used for regulating self-esteem

NOTE:  This chart originally appeared in Akhtar, S. J. (1989). Narcissistic personality disorder: Descriptive features and differential diagnosis. Psychiatric Clinics of North America, 12, pp. 505-530.

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